{"id":336,"date":"2023-02-11T20:57:43","date_gmt":"2023-02-11T23:57:43","guid":{"rendered":"https:\/\/doutorbexiga.fmb.unesp.br\/?page_id=336"},"modified":"2023-03-08T12:20:53","modified_gmt":"2023-03-08T15:20:53","slug":"cadastro","status":"publish","type":"page","link":"https:\/\/doutorbexiga.fmb.unesp.br\/?page_id=336","title":{"rendered":"Cadastro"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"336\" class=\"elementor elementor-336\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-29d804a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"29d804a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f10be48\" data-id=\"f10be48\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-297cadd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"297cadd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-21bfb15\" data-id=\"21bfb15\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aca340c elementor-widget elementor-widget-text-editor\" data-id=\"aca340c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Cadastro<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-db02a85 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"db02a85\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-278fe2a\" data-id=\"278fe2a\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-79cf283 elementor-widget elementor-widget-text-editor\" data-id=\"79cf283\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span class=\"TextRun SCXW109143696 BCX0\" lang=\"PT-BR\" xml:lang=\"PT-BR\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW109143696 BCX0\">Profissional da Sa\u00fade<\/span><\/span><span class=\"EOP SCXW109143696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:200,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ed2543 elementor-widget elementor-widget-wpforms\" data-id=\"4ed2543\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-960\"><form id=\"wpforms-form-960\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"960\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F336\" data-token=\"50409b04d44b8b361106d64140f79d20\"><noscript class=\"wpforms-error-noscript\">Ative o JavaScript no seu navegador para preencher este formul\u00e1rio.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-960-field_2-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_2\">Qual sua forma\u00e7\u00e3o<\/label><select id=\"wpforms-960-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\"><option value=\"M\u00e9dico\" >M\u00e9dico<\/option><option value=\"Enfermeiro\" >Enfermeiro<\/option><option value=\"Outro profissional da sa\u00fade\" >Outro profissional da sa\u00fade<\/option><\/select><\/div><div id=\"wpforms-960-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_3\">Sexo<\/label><select id=\"wpforms-960-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\"><option value=\"Feminino\" >Feminino<\/option><option value=\"Masculino\" >Masculino<\/option><option value=\"Outro\" >Outro<\/option><\/select><\/div><div id=\"wpforms-960-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_4\">Idade (anos)<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-960-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-960-field_6-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_6\">Endere\u00e7o<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-960-field_6\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][6][address1]\" placeholder=\"Rua, Av...\" ><label for=\"wpforms-960-field_6\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-960-field_6-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][6][city]\" placeholder=\"Cidade...\" ><label for=\"wpforms-960-field_6-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-960-field_6-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][6][state]\" ><label for=\"wpforms-960-field_6-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-960-field_6-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][6][country]\" ><option value=\"AF\" >Afeganist\u00e3o<\/option><option value=\"AL\" >Alb\u00e2nia<\/option><option value=\"DE\" >Alemanha<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"AG\" >Ant\u00edgua e Barbuda<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Arm\u00eania<\/option><option value=\"AW\" >Aruba<\/option><option value=\"SA\" >Ar\u00e1bia Saudita<\/option><option value=\"AU\" >Austr\u00e1lia<\/option><option value=\"AZ\" >Azerbaij\u00e3o<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"MM\" >Birm\u00e2nia<\/option><option value=\"BO\" >Bol\u00edvia (Estado Plurinacional da)<\/option><option value=\"BQ\" >Bonaire, Santo Eust\u00e1quio e Saba<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulg\u00e1ria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e3o<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"BA\" >B\u00f3snia e Hezergovina<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"CM\" >Camar\u00f5es<\/option><option value=\"KM\" >Camar\u00f5es<\/option><option value=\"KH\" >Camboja<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"QA\" >Catar<\/option><option value=\"KZ\" >Cazaquist\u00e3o<\/option><option value=\"TD\" >Chade<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\" >Col\u00f4mbia<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica do)<\/option><option value=\"KR\" >Cor\u00e9ia (Republica da)<\/option><option value=\"KP\" >Cor\u00e9ia (Rep\u00fablica Popular Democr\u00e1tica da)<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa do Marfim<\/option><option value=\"HR\" >Cro\u00e1cia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EG\" >Egito<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emirados \u00c1rabes Unidos<\/option><option value=\"EC\" >Equador<\/option><option value=\"ER\" >Eritr\u00e9ia<\/option><option value=\"SK\" >Eslov\u00e1quia<\/option><option value=\"SI\" >Eslov\u00eania<\/option><option value=\"ES\" >Espanha<\/option><option value=\"VA\" >Estado da Cidade do Vaticano<\/option><option value=\"US\" >Estados Unidos da America<\/option><option value=\"EE\" >Est\u00f4nia<\/option><option value=\"SZ\" >Eswatini (Reino de)<\/option><option value=\"ET\" >Eti\u00f3pia<\/option><option value=\"RU\" >Federa\u00e7\u00e3o Russa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finl\u00e2ndia<\/option><option value=\"FR\" >Fran\u00e7a<\/option><option value=\"GA\" >Gab\u00e3o<\/option><option value=\"GH\" >Gana<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GS\" >Ge\u00f3rgia do Sul e Ilhas Sandwich do Sul<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GL\" >Groenl\u00e2ndia<\/option><option value=\"GR\" >Gr\u00e9cia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GY\" >Guiana<\/option><option value=\"GF\" >Guiana Francesa<\/option><option value=\"GN\" >Guin\u00e9<\/option><option value=\"GQ\" >Guin\u00e9 Equatorial<\/option><option value=\"GW\" >Guin\u00e9-Bissau<\/option><option value=\"GM\" >G\u00e2mbia<\/option><option value=\"HT\" >Haiti<\/option><option value=\"NL\" >Holanda<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungria<\/option><option value=\"BV\" >Ilha Bouvet<\/option><option value=\"HM\" >Ilha Heard e Ilhas McDonald<\/option><option value=\"NF\" >Ilha Norfolk<\/option><option value=\"IM\" >Ilha de Man<\/option><option value=\"CX\" >Ilha do Natal<\/option><option value=\"AX\" >Ilhas Aland<\/option><option value=\"KY\" >Ilhas Cayman<\/option><option value=\"CC\" >Ilhas Cocos (Keeling)<\/option><option value=\"CK\" >Ilhas Cook<\/option><option value=\"FK\" >Ilhas Falkland (Malvinas)<\/option><option value=\"FO\" >Ilhas Faroe<\/option><option value=\"MP\" >Ilhas Marianas do Norte<\/option><option value=\"MH\" >Ilhas Marshall<\/option><option value=\"UM\" >Ilhas Menores Distantes dos Estados Unidos<\/option><option value=\"SB\" >Ilhas Salom\u00e3o<\/option><option value=\"TC\" >Ilhas Turks e Caicos<\/option><option value=\"VG\" >Ilhas Virgens (Brit\u00e2nicas)<\/option><option value=\"VI\" >Ilhas Virgens (EUA)<\/option><option value=\"ID\" >Indon\u00e9sia<\/option><option value=\"IQ\" >Iraque<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica da)<\/option><option value=\"IR\" >Ir\u00e3 (Rep\u00fablica Isl\u00e2mica do Ir\u00e3)<\/option><option value=\"IS\" >Isl\u00e2ndia<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >It\u00e1lia<\/option><option value=\"YE\" >I\u00eamen<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00e3o<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jord\u00e2nia<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Let\u00f4nia<\/option><option value=\"LR\" >Lib\u00e9ria<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litu\u00e2nia<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"LY\" >L\u00edbia<\/option><option value=\"MO\" >Macau<\/option><option value=\"MK\" >Maced\u00f4nia do Norte (rep\u00fablica de)<\/option><option value=\"MG\" >Madag\u00e1scar<\/option><option value=\"MW\" >Malavi<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MY\" >Mal\u00e1sia<\/option><option value=\"MA\" >Marrocos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MR\" >Maurit\u00e2nia<\/option><option value=\"MU\" >Maur\u00edcio<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micron\u00e9sia (Estados Federados da)<\/option><option value=\"MD\" >Mold\u00e1via (Rep\u00fablica da)<\/option><option value=\"MN\" >Mong\u00f3lia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mo\u00e7ambique<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f4naco<\/option><option value=\"NA\" >Nam\u00edbia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicar\u00e1gua<\/option><option value=\"NG\" >Nig\u00e9ria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nova Caled\u00f4nia<\/option><option value=\"NZ\" >Nova Zel\u00e2ndia<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e3<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Papua Nova Guin\u00e9<\/option><option value=\"PK\" >Paquist\u00e3o<\/option><option value=\"PY\" >Paraguai<\/option><option value=\"PE\" >Peru<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polin\u00e9sia Francesa<\/option><option value=\"PL\" >Pol\u00f4nia<\/option><option value=\"PR\" >Porto Rico<\/option><option value=\"PT\" >Portugal<\/option><option value=\"KG\" >Quirguist\u00e3o<\/option><option value=\"KE\" >Qu\u00eania<\/option><option value=\"GB\" >Reino Unido da Gr\u00e3-Bretanha e Irlanda do Norte<\/option><option value=\"CF\" >Rep\u00fablica Central Africana<\/option><option value=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular do Laos<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"CZ\" >Rep\u00fablica Tcheca<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe da S\u00edria<\/option><option value=\"RE\" >Reuni\u00e3o<\/option><option value=\"RO\" >Rom\u00eania<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"EH\" >Saara Ocidental<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"SH\" >Santa Helena, Ilha de Ascens\u00e3o e Trist\u00e3o da Cunha<\/option><option value=\"LC\" >Santa L\u00facia<\/option><option value=\"SC\" >Seicheles<\/option><option value=\"SN\" >Senegal<\/option><option value=\"SL\" >Serra Leoa<\/option><option value=\"SG\" >Singapura<\/option><option value=\"SX\" >Sint Maarten (parte holandesa)<\/option><option value=\"SO\" >Som\u00e1lia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sud\u00e3o<\/option><option value=\"SS\" >Sud\u00e3o do Sul<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SE\" >Su\u00e9cia<\/option><option value=\"CH\" >Su\u00ed\u00e7a<\/option><option value=\"SJ\" >Svalbard e Jan Mayen<\/option><option value=\"BL\" >S\u00e3o Bartolomeu<\/option><option value=\"KN\" >S\u00e3o Crist\u00f3v\u00e3o e N\u00e9vis<\/option><option value=\"SM\" >S\u00e3o Marinho<\/option><option value=\"MF\" >S\u00e3o Martinho (parte francesa)<\/option><option value=\"PM\" >S\u00e3o Pedro e Miquelon<\/option><option value=\"ST\" >S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/option><option value=\"VC\" >S\u00e3o Vicente e Granadinas<\/option><option value=\"RS\" >S\u00e9rvia<\/option><option value=\"TH\" >Tail\u00e2ndia<\/option><option value=\"TW\" >Taiwan, Province of China<\/option><option value=\"TJ\" >Tajiquist\u00e3o<\/option><option value=\"TZ\" >Tanz\u00e2nia (Rep\u00fablica Unida da)<\/option><option value=\"IO\" >Territ\u00f3rio Brit\u00e2nico do Oceano \u00cdndico<\/option><option value=\"TF\" >Territ\u00f3rios Franceses do Sul<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trindade e Tobago<\/option><option value=\"TN\" >Tun\u00edsia<\/option><option value=\"TM\" >Turcomenist\u00e3o<\/option><option value=\"TR\" >Turkey<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UA\" >Ucr\u00e2nia<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguai<\/option><option value=\"UZ\" >Uzbequist\u00e3o<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana da)<\/option><option value=\"VN\" >Vietn\u00e3<\/option><option value=\"WF\" >Wallis e Futuna<\/option><option value=\"ZW\" >Zimb\u00e1bue<\/option><option value=\"ZM\" >Z\u00e2mbia<\/option><option value=\"ZA\" >\u00c1frica do Sul<\/option><option value=\"AT\" >\u00c1ustria<\/option><option value=\"IN\" >\u00cdndia<\/option><\/select><label for=\"wpforms-960-field_6-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-960-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_10\">Como realiza as orienta\u00e7\u00f5es aos pacientes pedi\u00e1tricos sobre o cateterismo intermitente limpo; (pode assinalar todos) <\/label><ul id=\"wpforms-960-field_10\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_1\" name=\"wpforms[fields][10][]\" value=\"N\u00e3o oriento crian\u00e7as, somente os familiares \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_1\">N\u00e3o oriento crian\u00e7as, somente os familiares <\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Orienta\u00e7\u00f5es verbais Desenhos \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_2\">Orienta\u00e7\u00f5es verbais Desenhos <\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_3\" name=\"wpforms[fields][10][]\" value=\"Folders \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_3\">Folders <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_4\" name=\"wpforms[fields][10][]\" value=\"V\u00eddeos \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_4\">V\u00eddeos <\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_5\" name=\"wpforms[fields][10][]\" value=\"Livros \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_5\">Livros <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_6\" name=\"wpforms[fields][10][]\" value=\"Reproduzindo a t\u00e9cnica em manequim \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_6\">Reproduzindo a t\u00e9cnica em manequim <\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_7\" name=\"wpforms[fields][10][]\" value=\" Reproduzindo a t\u00e9cnica no paciente \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_7\"> Reproduzindo a t\u00e9cnica no paciente <\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-960-field_10_8\" name=\"wpforms[fields][10][]\" value=\"Outros\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-960-field_10_8\">Outros<\/label><\/li><\/ul><\/div><div id=\"wpforms-960-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_7\">Deixe um e-mail para contato se deseja receber outros materiais educativos <\/label><input type=\"email\" id=\"wpforms-960-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-960-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_11\">Voc\u00ea j\u00e1 utilizou o material l\u00fadico do site Dr. Bexiga como um recurso de educa\u00e7\u00e3o em sa\u00fade. <\/label><input type=\"text\" id=\"wpforms-960-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><div class=\"wpforms-field-description\">Sim ou \r\n\r\nN\u00e3o. Especifique<\/div><\/div><div id=\"wpforms-960-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-960-field_12\">Voc\u00ea utiliza considera que os materiais do site poder\u00e1 preparar a crian\u00e7a para futuramente realizar o autocaterismo? <\/label><input type=\"text\" id=\"wpforms-960-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><div class=\"wpforms-field-description\">Sim ou \r\n\r\nN\u00e3o. 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0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-2\" for=\"wpforms-960-field_15_2\"><span class=\"wpforms-screen-reader-element\">Rate 2 out of 5<\/span><input type=\"radio\" id=\"wpforms-960-field_15_2\" class=\"wpforms-field-required wpforms-screen-reader-element\" name=\"wpforms[fields][15]\" value=\"2\" required><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#e27730\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-3\" 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value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\">Enviar<\/button><img decoding=\"async\" src=\"https:\/\/doutorbexiga.fmb.unesp.br\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-20fc6fb\" data-id=\"20fc6fb\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d87dd2d elementor-widget elementor-widget-text-editor\" data-id=\"d87dd2d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Paciente<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b9f4473 elementor-widget elementor-widget-wpforms\" data-id=\"b9f4473\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-970\"><form id=\"wpforms-form-970\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"970\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F336\" data-token=\"50409b04d44b8b361106d64140f79d20\"><noscript class=\"wpforms-error-noscript\">Ative o JavaScript no seu navegador para preencher este formul\u00e1rio.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-970-field_2-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_2\">Voc\u00ea \u00e9<\/label><select id=\"wpforms-970-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\"><option value=\"Adulto\" >Adulto<\/option><option value=\"Crian\u00e7a\" >Crian\u00e7a<\/option><option value=\"Cuidador de um paciente\" >Cuidador de um paciente<\/option><option value=\"Outros\" >Outros<\/option><\/select><\/div><div id=\"wpforms-970-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_3\">Sexo<\/label><select id=\"wpforms-970-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\"><option value=\"Feminino\" >Feminino<\/option><option value=\"Masculino\" >Masculino<\/option><option value=\"Outro\" >Outro<\/option><\/select><\/div><div id=\"wpforms-970-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_4\">Idade (anos)<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-970-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-970-field_6-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_6\">Endere\u00e7o<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-970-field_6\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][6][address1]\" placeholder=\"Rua, Av...\" ><label for=\"wpforms-970-field_6\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-970-field_6-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][6][city]\" placeholder=\"Cidade...\" ><label for=\"wpforms-970-field_6-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-970-field_6-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][6][state]\" ><label for=\"wpforms-970-field_6-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-970-field_6-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][6][country]\" ><option value=\"AF\" >Afeganist\u00e3o<\/option><option value=\"AL\" >Alb\u00e2nia<\/option><option value=\"DE\" >Alemanha<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Ant\u00e1rtida<\/option><option value=\"AG\" >Ant\u00edgua e Barbuda<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Arm\u00eania<\/option><option value=\"AW\" >Aruba<\/option><option value=\"SA\" >Ar\u00e1bia Saudita<\/option><option value=\"AU\" >Austr\u00e1lia<\/option><option value=\"AZ\" >Azerbaij\u00e3o<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"MM\" >Birm\u00e2nia<\/option><option value=\"BO\" >Bol\u00edvia (Estado Plurinacional da)<\/option><option value=\"BQ\" >Bonaire, Santo Eust\u00e1quio e Saba<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulg\u00e1ria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e3o<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"BA\" >B\u00f3snia e Hezergovina<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"CM\" >Camar\u00f5es<\/option><option value=\"KM\" >Camar\u00f5es<\/option><option value=\"KH\" >Camboja<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"QA\" >Catar<\/option><option value=\"KZ\" >Cazaquist\u00e3o<\/option><option value=\"TD\" >Chade<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\" >Col\u00f4mbia<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica do)<\/option><option value=\"KR\" >Cor\u00e9ia (Republica da)<\/option><option value=\"KP\" >Cor\u00e9ia (Rep\u00fablica Popular Democr\u00e1tica da)<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa do Marfim<\/option><option value=\"HR\" >Cro\u00e1cia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EG\" >Egito<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emirados \u00c1rabes Unidos<\/option><option value=\"EC\" >Equador<\/option><option value=\"ER\" >Eritr\u00e9ia<\/option><option value=\"SK\" >Eslov\u00e1quia<\/option><option value=\"SI\" >Eslov\u00eania<\/option><option value=\"ES\" >Espanha<\/option><option value=\"VA\" >Estado da Cidade do Vaticano<\/option><option value=\"US\" >Estados Unidos da America<\/option><option value=\"EE\" >Est\u00f4nia<\/option><option value=\"SZ\" >Eswatini (Reino de)<\/option><option value=\"ET\" >Eti\u00f3pia<\/option><option value=\"RU\" >Federa\u00e7\u00e3o Russa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finl\u00e2ndia<\/option><option value=\"FR\" >Fran\u00e7a<\/option><option value=\"GA\" >Gab\u00e3o<\/option><option value=\"GH\" >Gana<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GS\" >Ge\u00f3rgia do Sul e Ilhas Sandwich do Sul<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GL\" >Groenl\u00e2ndia<\/option><option value=\"GR\" >Gr\u00e9cia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GY\" >Guiana<\/option><option value=\"GF\" >Guiana Francesa<\/option><option value=\"GN\" >Guin\u00e9<\/option><option value=\"GQ\" >Guin\u00e9 Equatorial<\/option><option value=\"GW\" >Guin\u00e9-Bissau<\/option><option value=\"GM\" >G\u00e2mbia<\/option><option value=\"HT\" >Haiti<\/option><option value=\"NL\" >Holanda<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungria<\/option><option value=\"BV\" >Ilha Bouvet<\/option><option value=\"HM\" >Ilha Heard e Ilhas McDonald<\/option><option value=\"NF\" >Ilha Norfolk<\/option><option value=\"IM\" >Ilha de Man<\/option><option value=\"CX\" >Ilha do Natal<\/option><option value=\"AX\" >Ilhas Aland<\/option><option value=\"KY\" >Ilhas Cayman<\/option><option value=\"CC\" >Ilhas Cocos (Keeling)<\/option><option value=\"CK\" >Ilhas Cook<\/option><option value=\"FK\" >Ilhas Falkland (Malvinas)<\/option><option value=\"FO\" >Ilhas Faroe<\/option><option value=\"MP\" >Ilhas Marianas do Norte<\/option><option value=\"MH\" >Ilhas Marshall<\/option><option value=\"UM\" >Ilhas Menores Distantes dos Estados Unidos<\/option><option value=\"SB\" >Ilhas Salom\u00e3o<\/option><option value=\"TC\" >Ilhas Turks e Caicos<\/option><option value=\"VG\" >Ilhas Virgens (Brit\u00e2nicas)<\/option><option value=\"VI\" >Ilhas Virgens (EUA)<\/option><option value=\"ID\" >Indon\u00e9sia<\/option><option value=\"IQ\" >Iraque<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica da)<\/option><option value=\"IR\" >Ir\u00e3 (Rep\u00fablica Isl\u00e2mica do Ir\u00e3)<\/option><option value=\"IS\" >Isl\u00e2ndia<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >It\u00e1lia<\/option><option value=\"YE\" >I\u00eamen<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00e3o<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jord\u00e2nia<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Let\u00f4nia<\/option><option value=\"LR\" >Lib\u00e9ria<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Litu\u00e2nia<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"LY\" >L\u00edbia<\/option><option value=\"MO\" >Macau<\/option><option value=\"MK\" >Maced\u00f4nia do Norte (rep\u00fablica de)<\/option><option value=\"MG\" >Madag\u00e1scar<\/option><option value=\"MW\" >Malavi<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MY\" >Mal\u00e1sia<\/option><option value=\"MA\" >Marrocos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MR\" >Maurit\u00e2nia<\/option><option value=\"MU\" >Maur\u00edcio<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micron\u00e9sia (Estados Federados da)<\/option><option value=\"MD\" >Mold\u00e1via (Rep\u00fablica da)<\/option><option value=\"MN\" >Mong\u00f3lia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mo\u00e7ambique<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f4naco<\/option><option value=\"NA\" >Nam\u00edbia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicar\u00e1gua<\/option><option value=\"NG\" >Nig\u00e9ria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nova Caled\u00f4nia<\/option><option value=\"NZ\" >Nova Zel\u00e2ndia<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e3<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Papua Nova Guin\u00e9<\/option><option value=\"PK\" >Paquist\u00e3o<\/option><option value=\"PY\" >Paraguai<\/option><option value=\"PE\" >Peru<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polin\u00e9sia Francesa<\/option><option value=\"PL\" >Pol\u00f4nia<\/option><option value=\"PR\" >Porto Rico<\/option><option value=\"PT\" >Portugal<\/option><option value=\"KG\" >Quirguist\u00e3o<\/option><option value=\"KE\" >Qu\u00eania<\/option><option value=\"GB\" >Reino Unido da Gr\u00e3-Bretanha e Irlanda do Norte<\/option><option value=\"CF\" >Rep\u00fablica Central Africana<\/option><option value=\"LA\" >Rep\u00fablica Democr\u00e1tica Popular do Laos<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"CZ\" >Rep\u00fablica Tcheca<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe da S\u00edria<\/option><option value=\"RE\" >Reuni\u00e3o<\/option><option value=\"RO\" >Rom\u00eania<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"EH\" >Saara Ocidental<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"SH\" >Santa Helena, Ilha de Ascens\u00e3o e Trist\u00e3o da Cunha<\/option><option value=\"LC\" >Santa L\u00facia<\/option><option value=\"SC\" >Seicheles<\/option><option value=\"SN\" >Senegal<\/option><option value=\"SL\" >Serra Leoa<\/option><option value=\"SG\" >Singapura<\/option><option value=\"SX\" >Sint Maarten (parte holandesa)<\/option><option value=\"SO\" >Som\u00e1lia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sud\u00e3o<\/option><option value=\"SS\" >Sud\u00e3o do Sul<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SE\" >Su\u00e9cia<\/option><option value=\"CH\" >Su\u00ed\u00e7a<\/option><option value=\"SJ\" >Svalbard e Jan Mayen<\/option><option value=\"BL\" >S\u00e3o Bartolomeu<\/option><option value=\"KN\" >S\u00e3o Crist\u00f3v\u00e3o e N\u00e9vis<\/option><option value=\"SM\" >S\u00e3o Marinho<\/option><option value=\"MF\" >S\u00e3o Martinho (parte francesa)<\/option><option value=\"PM\" >S\u00e3o Pedro e Miquelon<\/option><option value=\"ST\" >S\u00e3o Tom\u00e9 e Pr\u00edncipe<\/option><option value=\"VC\" >S\u00e3o Vicente e Granadinas<\/option><option value=\"RS\" >S\u00e9rvia<\/option><option value=\"TH\" >Tail\u00e2ndia<\/option><option value=\"TW\" >Taiwan, Province of China<\/option><option value=\"TJ\" >Tajiquist\u00e3o<\/option><option value=\"TZ\" >Tanz\u00e2nia (Rep\u00fablica Unida da)<\/option><option value=\"IO\" >Territ\u00f3rio Brit\u00e2nico do Oceano \u00cdndico<\/option><option value=\"TF\" >Territ\u00f3rios Franceses do Sul<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trindade e Tobago<\/option><option value=\"TN\" >Tun\u00edsia<\/option><option value=\"TM\" >Turcomenist\u00e3o<\/option><option value=\"TR\" >Turkey<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UA\" >Ucr\u00e2nia<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguai<\/option><option value=\"UZ\" >Uzbequist\u00e3o<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana da)<\/option><option value=\"VN\" >Vietn\u00e3<\/option><option value=\"WF\" >Wallis e Futuna<\/option><option value=\"ZW\" >Zimb\u00e1bue<\/option><option value=\"ZM\" >Z\u00e2mbia<\/option><option value=\"ZA\" >\u00c1frica do Sul<\/option><option value=\"AT\" >\u00c1ustria<\/option><option value=\"IN\" >\u00cdndia<\/option><\/select><label for=\"wpforms-970-field_6-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-970-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_10\">Como aprendeu a realizar o cateterismo intermitente limpo; (pode assinalar todos) <\/label><ul id=\"wpforms-970-field_10\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Orienta\u00e7\u00e3o verbal \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_1\">Orienta\u00e7\u00e3o verbal <\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Desenhos\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_2\">Desenhos<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_3\" name=\"wpforms[fields][10][]\" value=\"Folders \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_3\">Folders <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_4\" name=\"wpforms[fields][10][]\" value=\"V\u00eddeos \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_4\">V\u00eddeos <\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_5\" name=\"wpforms[fields][10][]\" value=\"Livros \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_5\">Livros <\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_6\" name=\"wpforms[fields][10][]\" value=\"Fazendo a t\u00e9cnica na crian\u00e7a \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_6\">Fazendo a t\u00e9cnica na crian\u00e7a <\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_7\" name=\"wpforms[fields][10][]\" value=\"Fazendo a t\u00e9cnica em bonecos \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_7\">Fazendo a t\u00e9cnica em bonecos <\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-970-field_10_8\" name=\"wpforms[fields][10][]\" value=\"Outros\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-970-field_10_8\">Outros<\/label><\/li><\/ul><\/div><div id=\"wpforms-970-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_7\">Deixe um e-mail para contato se deseja receber outros materiais educativos <\/label><input type=\"email\" id=\"wpforms-970-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-970-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_11\">Voc\u00ea considera que os materiais do site o ajudou ou ajudou seu filho\/parente a entender a import\u00e2ncia do cateterismo intermitente limpo. <\/label><input type=\"text\" id=\"wpforms-970-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><div class=\"wpforms-field-description\">Sim ou \r\n\r\nN\u00e3o.  Especifique<\/div><\/div><div id=\"wpforms-970-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_12\">Voc\u00ea considera que os materiais do site pode incentivar a realiza\u00e7\u00e3o do autocateterismo  <\/label><input type=\"text\" id=\"wpforms-970-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><div class=\"wpforms-field-description\">Sim ou \r\n\r\nN\u00e3o.  Especifique <\/div><\/div><div id=\"wpforms-970-field_15-container\" class=\"wpforms-field wpforms-field-rating\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_15\">Qual a sua avalia\u00e7\u00e3o para os materiais dispon\u00edveis no site <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-rating-items\"><label class=\"wpforms-field-rating-item choice-1\" for=\"wpforms-970-field_15_1\"><span class=\"wpforms-screen-reader-element\">Rate 1 out of 5<\/span><input type=\"radio\" id=\"wpforms-970-field_15_1\" class=\"wpforms-field-required wpforms-screen-reader-element\" name=\"wpforms[fields][15]\" value=\"1\" required><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#e27730\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-2\" for=\"wpforms-970-field_15_2\"><span class=\"wpforms-screen-reader-element\">Rate 2 out of 5<\/span><input type=\"radio\" id=\"wpforms-970-field_15_2\" class=\"wpforms-field-required wpforms-screen-reader-element\" name=\"wpforms[fields][15]\" value=\"2\" required><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#e27730\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-3\" for=\"wpforms-970-field_15_3\"><span class=\"wpforms-screen-reader-element\">Rate 3 out of 5<\/span><input type=\"radio\" id=\"wpforms-970-field_15_3\" class=\"wpforms-field-required wpforms-screen-reader-element\" name=\"wpforms[fields][15]\" value=\"3\" required><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#e27730\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-4\" for=\"wpforms-970-field_15_4\"><span class=\"wpforms-screen-reader-element\">Rate 4 out of 5<\/span><input type=\"radio\" id=\"wpforms-970-field_15_4\" class=\"wpforms-field-required wpforms-screen-reader-element\" name=\"wpforms[fields][15]\" value=\"4\" required><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#e27730\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><label class=\"wpforms-field-rating-item choice-5\" for=\"wpforms-970-field_15_5\"><span class=\"wpforms-screen-reader-element\">Rate 5 out of 5<\/span><input type=\"radio\" id=\"wpforms-970-field_15_5\" class=\"wpforms-field-required wpforms-screen-reader-element\" name=\"wpforms[fields][15]\" value=\"5\" required><svg width=\"28\" height=\"28\" style=\"height:28px;width:28px;\" fill=\"currentColor\" color=\"#e27730\" viewBox=\"0 0 1792 1792\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M1728 647q0 22-26 48l-363 354 86 500q1 7 1 20 0 21-10.5 35.5t-30.5 14.5q-19 0-40-12l-449-236-449 236q-22 12-40 12-21 0-31.5-14.5t-10.5-35.5q0-6 2-20l86-500-364-354q-25-27-25-48 0-37 56-46l502-73 225-455q19-41 49-41t49 41l225 455 502 73q56 9 56 46z\"\/><\/svg><\/label><\/div><\/div><div id=\"wpforms-970-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-970-field_16\">Justifique sua nota \ud83d\ude42<\/label><input type=\"text\" id=\"wpforms-970-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><div class=\"wpforms-field-description\">Muito obrigado pela sua contribui\u00e7\u00e3o! 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